İntravitreal enjeksiyonda müzik müdahalesinin ağrı, anksiyete, vital bulgular ve hasta memnuniyetine etkisi: randomize kontrollü çalışma

Year 2022, Volume: 27 Issue: 2, 150 - 161, 24.05.2022

Mustafa Hız Yeliz Ciğerci Mustafa Doğan

https://doi.org/10.21673/anadoluklin.1049397

Abstract

Amaç: Bu çalışmanın amacı, intravitreal enjeksiyon (IVTE) girişimi yapılacak hastalara iki farklı dönemde (IVTE öncesi ve IVTE sırası) uygulanan müzik müdahalesinin, hastaların anksiyetesi, ağrı algısı, vital bulgular ve hasta memnuniyetine etkisinin incelenmesidir.

Yöntemler: Bu randomize kontrollü çalışma iki müdahale (IVTE öncesi (Grup 1) ve IVTE sırası (Grup 2) müzik müdahale grup) ve bir kontrol grubu olmak üzere toplam üç grup ile yürütüldü (Grup 1 n= 73, Grup 2 n = 74, kontrol grubu n =72). astaların ağrı ve anksiyetesinin değerlendirilmesinde Görsel Kıyaslama Ölçeği (GKÖ) ağrı ve GKÖ anksiyete (GKÖ-A) kullanıldı. IVTE prosedüründen memnuniyet ise 5’li likert özellikte olan bir soru ile değerlendirildi.

Bulgular: Anksiyete ve ağrı skorları Grup 1 ve 2’de kontrol grubuna göre daha düşüktü (p<0,001). Üç gruptaki hastaların enjeksiyondan hemen ve 15 dakika sonraki GKÖ-ağrı skorları
karşılaştırıldığında, bütün gruplarda hastaların ağrı düzeyleri düşüktü. Grup 2’nin iki ölçümü arasında anlamlı fark vardı (pb=0,009). Grup 1 ve 2’deki hastalar kontrol grubuna göre IVTE prosedüründen önemli ölçüde daha yüksek hasta memnuniyetine sahipti (p<0.001).

Sonuç: Bu çalışmanın sonuçları IVTE uygulanan hastalarda müzik müdahalesinin, hastaların anksiyete, ağrı algısı ve hasta memnuniyeti üzerine olumlu etkilerinin olduğunu ortaya koymaktadır. Bu nedenle, IVTE öncesi ve sırasında hastalara müzik müdahale yapılmasını önermekteyiz.

Keywords

ağrı;, anksiyete;, hasta memnuniyeti, intravitreal enjeksiyon, müzik müdahalesi, vital bulgu

The effects of the music intervention on anxiety, pain, vital signs, and patient satisfaction in intravitreal injection: a randomized controlled study

Abstract

Aim: This study aimed to investigate the effects of music intervention applied in two different periods Before intravitreal injection (IVTI) on anxiety, pain perception, vital signs, and
satisfaction in patients receiving intravitreal injection..

Methods: This randomized controlled study was conducted with a total of three groups including two music intervention groups (pre-IVTI (group 1) and during IVTI (group 2)) and a
control group (Group 1 n= 73, Group 2 n = 74, Control Group n =72). The patients’ pain was evaluated with the Visual Analog Scale (VAS) pain, anxiety with the Visual Analog Scale
Anxiety (VAS-A), and satisfaction with the IVTI procedure with a 5-point Likert scale.

Results: The anxiety and pain scores were lower in groups 1 and 2 than in the control group (p<0.001). All three groups had low pain levels when their VAS-Pain scores were compared immediately and 15 minutes after IVTI. Group 2 was found to have a significant difference between the two measurements (pb =0.009). Further, Groups 1 and 2 had significantly higher patient satisfaction with the IVTI procedure than the control group (p<0.001).

Conclusion: The study results showed that music intervention has positive effects on anxiety, pain perception, and satisfaction in patients receiving IVTI therapy. As a result, we recommend the use of listening to music on patients before and during the IVTI procedure.

Keywords

anxiety;, intravitreal injection, music intervention, pain;, patient satisfaction, vital sign

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